Active NPI
Jilian Crane, NP
- Gerontology Nurse Practitioner
- Murphysboro, IL
National Provider Identifier
1265018311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209.022818
- Practice address
- 7 S Hospital Dr
Murphysboro, IL 62966-3333 - Phone
- (618) 519-9200
- Fax
- (618) 684-2748
- NPI assigned
- Mar 19, 2021
- Last updated
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209.022818 | IL | Primary |
Addresses
Primary practice location
7 S Hospital Dr
Murphysboro, IL 62966-3333
Mailing address
109 California St
PO Box 577
Cartervilee, IL 62918-0577
Phone (618) 519-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.022818 | IL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1265018311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CALIFORNIA ST",
"address_2": "PO BOX 577",
"city": "CARTERVILEE",
"state": "IL",
"postal_code": "629180577",
"telephone_number": "618-519-9200",
"fax_number": "618-985-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S HOSPITAL DR",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629663333",
"telephone_number": "618-519-9200",
"fax_number": "618-684-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "JILIAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-19",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209.022818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murphysboro, IL
- Comm Unit School District 186
- Community Life Concepts of Southern Illinois, NPC (Community Life Counseling Center)
- Corley Chiropractic and Rehab Clinic LTD
- John Thomas Corley, DC
- Andrea Dawn Coulter, LCPC
- Alexis Crescitelli
- Claudia Denise Crews, RPH
- Anita Tallegien Daneshdoost, PT, DPT, MS
- Diane Kaye Davis, MSED, NCC, LCPC
- Natasha Rene Davis, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.